Individual
MS. KIMBERLEY GRETCHEN BEHRENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6330 ORCHARD LAKE RD, SUITE 120, WEST BLOOMFIELD, MI 48322-2398
(248) 855-3366
(248) 855-6213
Mailing address
6330 ORCHARD LAKE RD, SUITE 120, WEST BLOOMFIELD, MI 48322-2398
(248) 855-3366
(248) 855-6213
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
35095061
OH
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
4301091039
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2006001766
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326120023
—
MI
Enumeration date
10/20/2006
Last updated
11/01/2017
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